CDRLs.pdf

CONTRACT DATA REQUIREMENTS LIST

(1 Data Item)

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per, response, including the time for reviewinginstructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information Send comments regarding this burden estimate or any other aspect of this collection of information, includino suggestions for reducing the burden, to Department of Defense, Washinoton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT RE1URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/FR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGMT

TDP TM OTHER _____________________________

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020-19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A001

2. TITLE OF DATA ITEM

Commercial Asset Visibility Air Force (CAV) Reporting

3. SUBTITLE

CFM End Item Reporting

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81838/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.1

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DD 250 REQ

DD

9. DIST STATEMENT

REQUIRED

i.TIA

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11.AS OF DATE

SEE BLK 16

13. DATE OP SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

1. Block 4: All reporting shall be submitted in the English Language.

2. Blocks 10, 11, 12, 13:

a. Date of first submission shall be within 24 hours following a supply or maintenance transaction, after the contract award date.

b. Contractor reporting requirements to CAV AF shall be submitted daily and/or within 24 hours of a supply or maintenance action occurrence JAW the CAV AF CFM Reporting Requirements Document.

c. Data shall be current within 24 hours of the last End Item maintenance occurrence.

3. Blocks 7, 8, 14:

a. The contractor shall report End Item transactional data through electronic submission in CAV AF using the CAV AF website or CICA XML.

b. The contractor shall submit aDD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website ..

address: https://wawf.eb.mil, using DODAAC FA8251. MARK FOR: Address in block 14A.

c. A Letter of Transmittal shall be submitted in the month the delivery order is completed, covering all reports transmitted for that order. Submit the Letter to the following email address:

416SCMS.CDRL.Workflow@us.af.mil

416 SCMS/ 1

GUMAD

6070 GumLN Bldg. 1213 Hill AFB, UT 84056-5 825

SEE BLK 16

15. TOTAL 0 1 0

G. PREPARE BY ,

(J / /J

H. DATE

01/11/2019

I. APPROV J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

0.00 bD FORM 1423rFBa2OO1 PREVIOUS EDITION MAY BE USED. Page 1 of 1 Pages

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 10 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Weshington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 9MB control number. Please DO NOT REtURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY:

TOP TM OTHER _______________________________

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A002

2. TITLE OF DATA ITEM

Contract Depot Maintenance (CDM) Production Report

3. SUBTITLE

CDM Production Monthly Status Report

4. AUTHORITY (Data Acquisition Document No.)

DI-PSSS-81995/T

5. CONTRACT REFERENCE

PWS Paragraph 3.2

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DO 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

J-J

10. FREQUENCY

MTHLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEEBLK16

13. DATE OF SUBSEQUENT

SUBMISSION

SEEBLK16

0 ft Final

Iteg Repro

16. REMARKS

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. The Contractor's CAV AF Reporting shall reflect their inventory property control management system data records which shall represent timely and accurate accountability of AF inventory assets at the physical location(s) of the contractor's repair facility (including subcontractor facilities) shop floor, bond room and/or receiving/shipping docks, etc. for each repair.

c. The Contractor shall report by contract delivery order on all applicable categories, totals and on-hand balances, providing TABLE I (DI-PSSS-8 1995) for EACH repair location, including subcontractor facilities, for the contracts maintenance occurrence actions during the reporting period.

d. The Contractor shall report on production, providing TABLE I (DI-PSSS-81995) for EACH repair location, including subcontractor facilities, for which the contractor produced assets during the reporting period.

2. Blocks 10,11, 12, 13:

a. The reports shall be provided monthly within 5 (five) business days of the previous month's last calendar date.

b. Reports shall continue to be submitted by the contractor unless the requirement is terminated by the 416 SCMS/GUMAD, Program Manager (PM) or the Production Management Specialist (PMS),

c. The Final Report submitted following the final reporting period on the contract shall be annotated "Final Report"

3. Block 9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use. (January 2019). Other requests for this document shall be referred to 416 SMCS/GUMAD.

416 SCMS/ 1

GUMAD

6070 GumLN

Bldg. 1213 Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G. RED BY H. DATE

01/11/2019

I. AP yE J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

bbFöTh'ii 14'Z1FEB/ PREVIOUS EDITION MAY BE USED. Page of 2 Pages

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions searc(iing existing date sources, gathering and maintaining the date needed, and completing and reviewing the collection of informetion. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware thyt notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of idformation if t doec not display a currently valid 0MB control number. Please DO NOT RE1iURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contractli-'R No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGMT

TDP TM OTHER _____________________________

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A003

2. TITLE OF DATA ITEM

Government Property Inventory Report

3. SUBTITLE

Annual Government Property Physical Inventory Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80441 CIT

5. CONTRACT REFERENCE

PWS Paragraph 3.3

6. REQUIRING OFFICE

416 SCMSIGUMAD

7. DO 250 REQ

LT

9. DIST STATEMENT

REQUIRED

i-i

LI

10. FREQUENCY

ANNLY

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEEBLK16

13. DATE OF SUBSEQUENT

SUBMISSION

SEEBLK16

Draft Final

Reg Repro

16. REMARKS

NOTE: Changes to office symbols and/or e-mail addresses, when necessary shall be made by letter through the Government CO/ACO without further revision to thisCDRL.

1. Block4:

a. All reports shall be submitted in the English Language.

2. Blocks 10, 11, 12,13:

a. This report will be provided annually. Reporting Period is one year.

b. The data is representative of the Contractor's Internal Property Control System and shall be current as the last day of the annual reporting period. If requested outside of an annual cadence, the data shall be current as of the date requested.

c. The report shall be delivered within seven (7) calendar days of the end of the first reporting period and annually thereafter, or within seven (7) calendar days of government request.

3. Block9:

a. DISTRIBUTATION STATEMENT iDI: Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (January 2019). Other requests for this document shall be referred to 416 SMCS/GUMAD.

b. EXPORT CONTROL WARNING: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

416 SCMS/ 1

GIJIvIAD

6070 Gum LN Bldg. 1213 Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL E 0 1 0

PREP RED BY H. DATE

01/11/2019

I. APPR Y ' J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 1423-1, FEB 20 PREVIOUS EDITION MAY BE USED. / Page 1 of 2 Pages

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 10 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and tompleting and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, SuIte 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT REtURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MISC

TDP TM OTHER _____________________________

0. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A004

2. TITLE OF DATA ITEM

Maintenance Data Collection Record (MDCR)

3. SUBTITLE

Defense Repair Information Logistics System

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-82003/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.4

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DO 250 REQ

LT

9. 01ST STATEMENT

REQUIRED

N/A

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

N/A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMMMON

Draft Final

16. REMARKS

1. NOTE: Changes to office symbols and/or e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

2. Block 4: See attached Defense Repair Information Logistics System (DRILS) Technician Guide for instruction.

3. Block 9: No Distribution Statement is required as data shall be entered into DRIlLS, a maintenance data database. Reference DRIlLS Field Technician Guide dated, 2003.

4. Blocks: 10, 11, 12, 13:

a. Data shall be generated by the contractor when maintenance is accomplished.

b. Data shall be entered into DRILS as the data is generated in real time.

416 SCMS/ 1

GUMAD

6070 Gum LN Bldg. 1213

Atth:

Program Mgr Hill AFB, UT 84056-5 825

SEE BLK 16

15. TOTAL 0 1 0

G. REPARD BY

D trfr)

H. DATE

01/11/2019

I. APPRO V

ANH

J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DDFORM 1423-a TEB 2001 PREVIOUS EDI'IliDN MAY BE USED. Page 1 of 1 Pages

(1 Data Item) Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT REtURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block B.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MISC

TDP TM OTHER _____________________________

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable signal Processoi

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A005

2. TITLE OF DATA ITEM

Counterfeit Prevention Plan

3. SUBTITLE

CPP

4. AUTHORITY (Data Acquisition Document No.)

DI-MISC-81832/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.5

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DD 250 REQ

DD

9. DST STATEMENT

REQUIRED

D

10. FREQUENCY

OTIME

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SEE BLK 16

Final

Peg Repro

16. REMARKS .

1. NOTE: Changes to office symbols andlor e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

2. BLOCK 4: All data deliveries shall be submitted in the English language.

3. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and

Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA825 1. MARK FOR: Address in block 14a.

b. The contractor shall submit a Letter of Transmittal (LT) and the Contractors Counterfeit Protection Plan (CPP) via e-mail to the following e-mail address: alan.hozian@us.af.mil

4. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the Counterfeit prevention Plan (CPP) NLT thirty (30) calendar days after contract award. The Government comments will be provided to the contractor within fourteen (14) calendar days after receipt. The contractor shall resubmit the CPP NLT seven (7) calendar days after receipt of Government comments.

5. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (January 2019). Other requests for this document shall be referred to (416 SCMS/GUIMAD, Hill AFB, UT 84056-5826).

EXPORT CONTROL WARNiNG: All technical documents/data (printed, digital/electronic) that are determined to contain export-controlled technical data, shall be marked with the following statement:

416 SCMS/ 1

GUMAD

6070 Gum LN Bldg. 1213

Attn:

Program Mgr Hill AFB, UT

84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G E RED BY

NA

H. DATE

01/11/2019

I. APP BY

AN

J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

1DD 11M 142 i,FEB 200 PREVIOUS EDITION MAY BE USED. Page 1 of 2 PageS

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewinG instructions searching existing data sources, gathering arid maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding thit burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports 10701.01881, 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware thyt notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 0MB control number. Please DO NOT RE1'URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGM

TDP TM OTHER

T

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A006

2. TITLE OF DATA ITEM

Item Unique Identification (J1JID) Marking Plan

3. SUBTITLE

IUID Marking Plan

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81803/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.6

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DO 250 REQ

DD

9. DIST STATEMENT

REQUIRED

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final lteg

Repro

16. REMARKS

1. NOTE:

a. Changes to office symbols and/or e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

b. All data deliveries shall be submitted in the English language.

2. Block 4: Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format

(PDF).

3. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA8251. MARK FOR: Address in block 14a

b. The contractor shall submit a Letter of Transmittal (LT) and the IUTD Marking Plan via e-mail to the following e-mail address: alan.hozian@us.afmil

4. Blocks 8, 10, 11, 12, 13: The contractor shall deliver the IUTD Plan as required NLT thrity (30) days after contract award. The Government will review and provide comments NLT ten (10) business days following receipt. The contract shall then have ten (10) business days to make correction(s) and resubmit.

5. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (January 2019). Other requests for this document shall be referred to (416 SCMS/GUMAD, Hill AFB, UT 84056-5826).

416 SCMS/ 1 1

GUMAD

6070 Gum LN Bldg. 1213

Attn:

Logistics Mgt.

Specialist (LMS)

Hill AFB, UT 84056-5825

SEE BLK 16

15.TOTAL 1 1 0

G./REPA{ED BY H. DATE

01/11/2019

I. APPR D B

A N

J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

'DD 1O1M 1423'li ftB 2001 PREVIOUS EDITION MAY BE USED. ° Page 1 of 2 Pages

Form Approved 0MB No. 0704-0 188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewina instructions searchinci existing data sources, sathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regar8ing this burden estirnale or any other aspect ol this collection of information, includinci suggestions for reducing the burden, to Department of Defense, Washinqton Headquarters Services, Directorate for Information Operations and Reports (0701-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 9MB control number. Please DO NOT RE1URN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGMT

TOP TM OTHER _____________________________

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A007

2. TITLE OF DATA ITEM

Item Unique Identification (IUID) Marking Activity, Validation and Verification Report

3. SUBTITLE

IIJID Marking Activity & Verification Report

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-81804A/T

5. CONTRACT REFERENCE

PWS Paragraph: 3.6

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DO 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

1-f

10. FREQUENCY

SEE BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft

Final leg Repro

16. REMARKS

1. NOTE:

a. Changes to office symbols and/or e-mail addresses when necessary shall be made by letter through the Government CO/ACO without further revision to this CDRL.

b. All data deliveries shall be submitted in the English language.

2. Block 4: Contractor's format is acceptable using Microsoft Office 2013 compatible products (Word, Powerpoint) or Adobe Portable Document Format

(PDF).

3. Blocks 7, 8, 14:

a. The contractor shall submit DD Form 250 (Material Inspection and Receiving Report) electronically via the Internet to iRAPT (WAWF) website address: https://wawf.eb.mil using DODAAC FA8251. MARK FOR: Address in block 14a

b. DMCA inspector/acceptor may request a hard copy at the contractor's facility during the time of inspection and acceptance.

4. Blocks 8, 10, 11, 12, 13: First submission of information due NLT ninety (90) days after contract award and monthly thereafter. DCMA will review and provide comments in coordination with the F- 16 CCIU Program Office NLT seven (7) calendar days following receipt. Final report is due NLT seven (7) business days after receipt and incorporation of DCMA comments.

5. Block 9: The Distribution Statement, Export Control Warning and Destruction Notice shall be placed on the first sheet of each document and be located in a conspicuous location.

a. DISTRIBUTION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administration or Operational Use). (January 2019). Other requests for this document shall be referred to (416 SCMS/GUMAD, Hill AFB, UT 84056-5826).

DCMA 1

SEE BLK 16

15.TOTAL 0 1 0

G. EPA ED BY

S1T(

H. DATE

01/11/2019

I. APP ED BY J.DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DO FOBIVI 1423-1, I-I 20 I-'KVIUUS EDIIION MAY E tJLL). rage i orz rages

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average t 10 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports jO7O1 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid 9MB control number. Please DO NOT REI'URN your form to the above address. Send completed form to the Government Iscuing Contracting Officer for the Contract/PR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: MGMT

TDP TM OTHER _____________________________

D. SYSTEM/ITEM (GUB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A008

2. TITLE OF DATA ITEM

Status Report

3. SUBTITLE

Test Tool Security Reporting

4. AUTHORITY (Data Acquisition Document No.)

DI-MGMT-80368/T

5. CONTRACT REFERENCE

PWS Paragraph 3.8

6. REQUIRING OFFICE'

416 SCMS/GUMAD

7. DD 250 REQ

DD

9. 01ST STATEMENT

REQUIRED

r-s

LI

10. FREQUENCY

BLK 16

12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

5. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Rag

Repro

16. REMARKS

1. Block 4:

a. All reporting shall be submitted in the English Language.

b. Contractor format is acceptable.

2. Blocks 7, 10,11,12,13:

a. The inspection will be done at origin by DCMA. Below is their address. '

Reporting shall be submitted on a quarterly basis lAW the CLINS 1008, 2008 and 3008 on the contract.

b. The contractor shall submit a Certificate of Conformance to the called out requirements as proof of compliance.

DCMA NORTHROP GRUMAN BALTIMORE

7323 AVIATION BLVD

MS 1285

BALTIMORE MD 2 1204-2003

UNITED STATES

3. Block9:

a. DISTRIBUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (January 2019). Other requests for this document shall be referred to 416 SMCS/GUMAD.

416 SCMS/ 1

GUMAD

6070 Gum LN

Bldg. 1213 Hill AFB, UT

84056-5825

DCMA

NORTHROP

GRUMAN

BALTIMORE

SEE BLK 16

15.TOTAL 0 2 0

G. E RED BY H. DATE

01/11/2019

I. APP D '

J.DATE

01/11-2019

'17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DFORM f42iJ' 20 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages

Form Approved 0MB No. 0704-0188

The public reporting burden for this collection of information is estimated to average 110 hours per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports O7O1 -0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law no person shall be sublect to any penalty for failing to comply with a collection of information if t does not display a currently valid 0MB control number. Please DO NOT REtURN your form to the above address. Send completed form to the Government Issuing Contracting Officer for the Contract/uR No.

listed in Block E.

A. CONTRACT LINE ITEM NO. B. EXHIBIT

A

C. CATEGORY: FNCL

TDP TM OTHER _____________________________

D. SYSTEM/ITEM (GIJB-19-003)

Advanced Programmable Signal Processo

E. CONTRACT/PR NO.

FD2020- 19-00009

F. CONTRACTOR

1. DATA ITEM NO.

A009

2. TITLE OF DATA ITEM

Performance and Cost Report

3. SUBTITLE

Manpower Equivalent Report

4. AUTHORITY (Data Acquisition Document No.)

DI-FNCL-80912/T

5. CONTRACT REFERENCE

PWS Paragraph 3.7

6. REQUIRING OFFICE

416 SCMS/GUMAD

7. DD 250 REQ

LT

9. DIST STATEMENT

REQUIRED

r'

LI

10. FREQUENCY

SEE BLK 16

'12. DATE OF FIRST SUBMISSION

SEE BLK 16

14. DISTRIBUTION

a. ADDRESSEE

b. COPIES

8. APP CODE

A

11. AS OF DATE

SEE BLK 16

13. DATE OF SUBSEQUENT

SUBMISSION

SEE BLK 16

Draft Final

Reg Repro

16. REMARKS

1. Block4:

a. All reporting shall be submitted in the English Language.

b. Only paragraph 10.2.1 ofDID-FNCL-90912 applies.

c. Contractor format is acceptable.

3. Block 7: The contractor shall submit a Letter of Transmittal to the PCO in conjunction to each submittal to the following email address:

jeffrey.moody.6@us.af.mil

2. Blocks 10,11, 12, 13:

a. Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October of each calendar year. Contractors may direct questions to CMRA help desk.

b. The Contractor shall input data by 31 October of each year. However, due to the delayed implementation, input for FY data is required by 31 March.

3. Block9:

a. DISTRI[BUTATION STATEMENT "D": Distribution authorized to the Department of Defense and U.S. DoD contractors only (Administrative or Operational Use). (January 2019). Other requests for this document shall be referred to 416 SMCS/GUIMAD.

AFMC PZABB/ 1

6050 GUMLN

BLDG 1215

HILL AFB, UT

84056-5825

SEE BLK 16

15.TOTAL 0 1 0

G R RED BY H. DATE

01/11/2019

I. AP OVED J. DATE

01/11/2019

17. PRICE GROUP

NSP

18. ESTIMATED

TOTAL PRICE

DD FORM 142TTFEB 200 PREVIOUS EDITION MAY BE USED. Page 1 of 2 Pages